# PHYSIOFIT LOUISIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679280226
- **Authorized official:** BRYAN BARGANIER (CFO)
- **Authorized official phone:** (205) 536-7602

## Contact information

- **Practice address:** 504 W HIGHWAY 14, DELCAMBRE, LA 70528-2308
- **Practice address phone:** (337) 685-1770
- **Practice address fax:** (337) 685-1771
- **Mailing address:** 1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
- **Mailing address phone:** (423) 238-8923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022